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Organization

EAGLE PHYSICIANS AND ASSOCIATES PA

Active
Parent organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Other names
Eagle Gastroenterology
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAGLE PHYSICIANS AND ASSOCIATES PA
Authorized official
TERRI S. JONES (DIRECTOR, EAGLE BUSINESS SERVICES)
(336) 268-3201
Entity
Organization

Contact information

Practice address
1002 N CHURCH ST, SUITE 201, GREENSBORO, NC 27401-1439
(336) 378-0713
(336) 273-9060
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 378-0713
(336) 273-9060

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0190J
BCBS OF NC GROUP
NC
05
790190C
NC
Enumeration date
10/25/2006
Last updated
09/24/2015
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